Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.76 / $191.76 / $191.76	Facility		$191.76	$191.76	$191.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.61 / $261.77 / $894.05	Professional		$180.61	$261.77	$894.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.26 / $277.68 / $330.86	Professional		$208.26	$277.68	$330.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $225.68	Facility		$225.68	$225.68	$225.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $225.68 / $225.68	Professional		$164.75	$225.68	$225.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.08 / $347.61 / $521.41	Professional		$278.08	$347.61	$521.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.85 / $96.85 / $261.22	Facility		$96.85	$96.85	$261.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $225.68 / $386.94	Professional		$164.75	$225.68	$386.94
United Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $150.02 / $226.03	Professional		$138.71	$150.02	$226.03